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The Role of the Dopper in Ligation of Temporal Artery Prominences Case Example

In temporal artery ligation procedures (most commonly for treatment of prominent superficial temporal artery branches, a Doppler ultrasound probe plays an important localization role. Roles of the Doppler 1. Preoperative Vessel Mapping Handheld Doppler identifies the exact course of the superficial temporal artery and its frontal and parietal branches should it not be easily visible Read More…

Shaving of Ribcage Protrusions – Concept and Case Example

What Does Rib Shaving Mean? Shaving of ribcage protrusions is a surgical contouring procedure in which a prominent portion of a rib or ribs is reduced through excision of its outer convexity through bone or cartilage removal rather than removing the entire rib segment. Typically this is done for protrusions of the costal or cartilage-comprised Read More…

Secondary Dorsal Implant After Inadequate Rib Graft Augmentation Rhinoplasty

Nasal dorsal augmentation involves increasing the height and/or improving the contour of the nasal bridge (dorsum). It is a common component of rhinoplasty, particularly in patients with a low or flat nasal bridge or an irregular dorsal contour. Common Indications Low nasal bridge (common in many Asian, African, or revision rhinoplasty patients) Saddle nose deformity Read More…

Dermal-Fat Graft for Steroid Induced Glabellar Soft Tissue Defect Case Example

Soft tissue atrophy is a known complication of corticosteroid (steroid) injections, especially when they’re placed superficially or repeatedly in the same area. What it is: It’s a localized loss or thinning of subcutaneous fat and sometimes skin, leading to a visible depression or “dent” at the injection site. Why it happens: Corticosteroids can: Inhibit fibroblast Read More…

Transfemale Breast Augmentation Case Example

Breast augmentation in transfeminine (transfemales / trans women) patients is a well-established procedure, but it has some important differences from augmentation in cisgender women due to anatomical and hormonal factors. 1. Background: Hormone Therapy First Most transfeminine patients undergo estrogen-based hormone therapy before considering surgery. This: Promotes natural breast development (often A–small B cup) Helps Read More…

Male Custom Back of Head Skull Implant Case Example

In adults, a flat back of the head is usually due to one of these situations:            Natural skull shape (flat occiput) Very common and often genetic/ethnic/anatomical. Usually harmless. Some people notice it more with short haircuts or certain head angles. Residual positional plagiocephaly/brachycephaly from infancy Flattening that developed as a Read More…

Male Large Earlobe Reduction Case Example

Earlobe reduction is a minor cosmetic procedure used to make large, elongated, or drooping earlobes smaller and more proportionate. Common reasons patients seek it include: Naturally large lobes Age-related stretching and thinning Heavy earrings causing elongation Gauged/stretch-pierced ears Asymmetry between lobes Procedure The surgery is typically performed under local anesthesia if done alone Techniques vary Read More…

XL Pectoral Implants Case Example

For extra large pectoral implants, there are basically two categories: Largest standard implants Custom oversized implants Most standard male pectoral implants are in the 300–400cc range. Large standard implants go up to about 600c. Anything beyond that usually requires a custom-made implant. Custom XL Pectoral Implants Surgeons doing “extreme” chest augmentation often use: Custom solid Read More…

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